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Misdemeanor policing, physical disorder, and gun-related homicide: a spatial analytic test of "broken-windows" theory

Cerda M, Tracy M, Messner SF, Vlahov D, Tardiff K, Gelea S. Misdemeanor policing, physical disorder, and gun-related homicide: a spatial analytic test of “broken-windows” theory. Epidemiology 2009;. 2009; 20(4):533-41.

Background: Homicide contributes substantially to the burden of death in the US and remains a key contributor to the gap in white-black life expectancy. It has been hypothesized that “broken-windows” policing is associated with lower homicide rates and that physical disorder may mediate this association. However, the empiric evidence is limited and conflicting.

 

Methods: We used pooled, cross-sectional time-series data for 74 New York City (NYC) Police Precincts between 1990 and 1999 to test the relation between neighborhood misdemeanor policing (an indicator of physical order) and homicide in NYC in the 1990s. We applied Bayesian hierarchical models, including a random effect of place, to account for serial correlations in homicide across adjacent neighborhoods.

 

Results: An increase of 5000 misdemeanor arrests in a precinct with 100,000 people was associated with a reduction of 3.5 homicides (95% credible interval = -5.00 to -1.00). However, increased misdemeanor arrests were associated with lower physical order (posterior median = -0.015 [-0.025 to -0.01]), and physical order was unrelated to homicide.

 

Conclusions: Our study replicated prior findings suggesting that misdemeanor policing reduces homicide rates, but offered no support for the hypothesis that physical disorder is a mediator of the impact of such policing. Factors responsible for the dramatic decline in US homicides in the last decade remain unclear.

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Reporters: to arrange interviews with NYAM medical and urban health experts, contact
Andrew J. Martin, Director of Communications
212-822-7285 / amartin@nyam.org

The 2012-2013 Duncan Clark Lecture - The Affordable Care Act: An Insider’s View

The 2012-2013 Duncan Clark Lecture - The Affordable Care Act: An Insider’s View

Featured Speaker: Sherry Glied, PhD, former Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services

November 19, 2012 - The NYAM Section on Health Care Delivery welcomes Sherry Glied, PhD, former Assistant Secretary for Planning and Evaluation in the U.S. Department of Health and Human Services, who will deliver the 2012-2013 Duncan Clark Lecture on "The Affordable Care Act: An Insider's View."
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NYAM Report - Federal Health Care Reform in New York State: A Population Health Perspective

The New York Academy of Medicine with support from the New York State Heath Foundation released a new report, Federal Health Care Reform in New York State: A Population Health Perspective.

This report identifies opportunities that build on both the Patient Protection and Affordable Health Care Act (ACA) and New York’s ongoing efforts toward improving the health of its 19 million residents.

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